Provider Demographics
NPI:1174667372
Name:SEAWORTH, BARBARA J (MD)
Entity Type:Individual
Prefix:DR
First Name:BARBARA
Middle Name:J
Last Name:SEAWORTH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:BARBARA
Other - Middle Name:J
Other - Last Name:MAYER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 847824
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75284-7824
Mailing Address - Country:US
Mailing Address - Phone:903-877-2827
Mailing Address - Fax:903-877-5661
Practice Address - Street 1:2303 SE MILITARY DR
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78223-3542
Practice Address - Country:US
Practice Address - Phone:903-877-2827
Practice Address - Fax:903-877-5661
Is Sole Proprietor?:No
Enumeration Date:2007-02-19
Last Update Date:2016-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH1835207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXB26307Medicare UPIN
8492M3Medicare ID - Type Unspecified